STACY HOLTZ PA
Physician Assistant


Address: 245 Jeremy Swamp Road, Southbury, CT 06488

STACY HOLTZ PA (Credential# 742465) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

STACY HOLTZ PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000716. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 245 Jeremy Swamp Road, Southbury, CT 06488. The current status is active.

Basic Information

Licensee Name STACY HOLTZ PA
Credential ID 742465
Credential Number 23.000716
Credential Type Physician Assistant
Business Address 245 Jeremy Swamp Road
Southbury
CT 06488
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1998-01-30
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-05-18

Other licenses

ID Credential Code Credential Type Issue Term Status
196157 CSP.0026670 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE
867237 70.941459 Emergency Medical Technician 1994-09-01 - 1996-09-30 INACTIVE

Office Location

Street Address 245 JEREMY SWAMP ROAD
City SOUTHBURY
State CT
Zip Code 06488

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jillian Jung 582 Patriot Rd, Southbury, CT 06488 Radiographer 2020-08-01 ~ 2021-07-31
Mary E Kohler 201 Old Highway, Southbury, CT 06488 Registered Nurse 2020-09-01 ~ 2021-08-31
Theresa K Bobak 266b Heritage Village, Southbury, CT 06488 Registered Nurse 2020-08-01 ~ 2021-07-31
Kelly Watson 800 Main Street South Suite 102, Southbury, CT 06488 Medication Administration Certification 2018-06-27 ~ 2020-06-26
Mcdonald's Rest #2104 44 Division St, Derby, CT 06488 Bakery 2020-07-01 ~ 2021-06-30
Shirley A Frager 5 West View Rd, Southbury, CT 06488 Registered Nurse 2020-07-01 ~ 2021-06-30
Maureen K Boyd 77 Shane Drive, Southbury, CT 06488 Physical Therapist 2020-09-01 ~ 2021-08-31
South Britain Oil LLC 424 Old Field Rd, Southbury, CT 06488 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Won Ju Lee 995 Old Field Rd, Southbury, CT 06488 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2022-01-31
Mcdonald's Rest #27001 652 New Haven Ave, Derby, CT 06488 Bakery 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06488

Competitor

Search similar business entities

City SOUTHBURY
Zip Code 06488
License Type Physician Assistant
License Type + County Physician Assistant + SOUTHBURY

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Stacy S Adil 84 Hawthorne Ave, Hamden, CT 06517-1825 Physician Assistant 2020-07-01 ~ 2021-06-30
Stacy Anne Henderson Pa 41 Germantown Rd Ste 101, Danbury, CT 06810-4087 Physician Assistant 2020-06-01 ~ 2021-05-31
Stacy Fuller Baecker Pa-c 28 Magnolia Ave, Norwalk, CT 06850-3631 Physician Assistant 2010-09-01 ~ 2011-08-31
Stacy E Shimp 1673 Ludwell Drive, Ambler, PA 19002 Physician Assistant 2019-12-01 ~ 2020-11-30
Holtz Excavation LLC 45 Ward St, Wallingford, CT 06492-4022 Home Improvement Contractor 2013-04-17 ~ 2013-11-30
Stacy Alex Robinson 8246 Azur Coast Boulevard, Lake Worth, FL 33467 Physician Assistant 2020-05-01 ~ 2021-04-30
Holtz Rubenstein Reminick LLP 125 Baylis Road, Melville, NY 11747 Certified Public Accountant Firm Permit 2009-01-01 ~ 2009-12-31
Stacy A Borucki 4 Dover Rd., So. Hadley, MA 01075 Physical Therapist Assistant ~ 2006-11-01
Stacy L James 84 Roosevelt Ave. Ext., Preston, CT 06365 Physical Therapist Assistant 2019-10-01 ~ 2020-09-30
Stacy Marie Rivers 100 Ben St, Bristol, CT 06010-3228 Physical Therapist Assistant 2020-07-01 ~ 2021-06-30

Improve Information

Please comment or provide details below to improve the information on STACY HOLTZ PA.

Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

Trending Searches